Organization
SANTA YEKATERINA HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANTES VALENZUELA (CEO/PRESIDENT)
(818) 623-8888
Entity
Organization
Contact information
Practice address
5958 VINELAND AVE., SUITE J, NORTH HOLLYWOOD, CA 91601-1329
(818) 623-8888
(818) 623-0808
Mailing address
5958 VINELAND AVE., SUITE J, NORTH HOLLYWOOD, CA 91601-1329
(818) 623-8888
(818) 623-0808
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
CA
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550001494
—
CA
Enumeration date
07/22/2010
Last updated
12/22/2015
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